DOCK PERMIT APPLICATION
CONTRACTOR INFORMATION
County of Pulaski County Administration Building 143 Third Street NW, Suite 1 Ph: 540-980-7710 Pulask...
County of Pulaski County Administration Building 143 Third Street NW, Suite 1 Ph: 540-980-7710 Pulaski VA 24301 Fax: 540-980-7717
Date of Application: _________________ All permit applications are subject to at least a 3-Day Review.
TYPE OF PERMIT (Check all that Apply) Jet Ski Lifts Stationary Dock Number of Jet Ski Lifts ______ Floating Dock Storage Area Boat Lift w/o Sundeck Size of Storage ____________ Boat Lift w/Sundeck Boat Slip(s) Number of Slips ________ TYPE OF WORK (Check One) Electrical permit needed?
Yes
No
Name: Address: Phone Number: Zip Code: VA Contractor’s License Number: COST OF DOCK Permit fees are based on the value of work performed. Including equipment, labor.
ESIMATED COST $ ____________________________________________ AEP Work Order Number (1-800-956-4237)
Site Plan Petition #: Special Use Permit Petition #:
CATEGORY OF CONSTRUCTION (Check One) Building group use: Type of construction: Other:
SCOPE OF WORK (Describe briefly, but thoroughly)
DIRECTIONS TO SITE
JOB SITE INFORMATION 911 Address City/State/ZIP Lot or Apt #
PROPERTY OWNER INFORMATION Name Mailing Address City/State/ZIP Phone #
Cell #
Permanent
When Applicable, the following may be required:
Article 8: Claytor Lake Surface District Summary Setbacks are 15’ from adjoining property line Structures shall not extend further waterward more than 50’ or 1/4 of the width of a cove/channel as measured at full reservoir elevation. With the exception of a single walkway, there shall be no structures or decking upland within the district (1850 contour). Only one walkway permitted per structure, not to exceed 6’ in width, nor be less than 4’ in width. Handrails are required on all walkway sections leading to floating docks and on walkways leading to stationary docks if walkways are 30” or more above full pond elevation. 2” minimum diameter white reflectors shall be affixed along the sides of the structure at intervals of 8’ and within 2’ of each corner. No more than one pier, dock, or common-use boatslip per waterfront will be considered for approval. A lot having less than 100’ of shoreline (at full pond elevation) and suitable for residential uses will not be considered for a pier, dock or common-use slip unless it was subdivided and recorded prior to August 25, 2003. Maximum square footage of a property owner’s structure and slip areas shall not exceed 1,000 sq.ft. (Incl. footprint and open slip area) Shared dock facilities and common docks are allowed, please read Article 8-3.12 and Article 8-3.13 for regulations. Enclosed storage areas may be permitted on docks but shall not exceed 48 square feet in size and shall be located within 10’ of the back of the dock as measured from the landward side, excluding the walkway. Not to be used for human habitation, and shall not be equipped with household fixtures. (Including screened-in areas.) The maximum height of any and all private docks shall not exceed 16’ above the full pond elevation. All fixed decking must be at least 2’ above full pond elevation of 1846 feet above mean sea level. Completion of dock must be within 18 months from approval. Please see Article 8 of the Pulaski County Zoning Ordinance for more complete information. All applications are subject to review by AEP and the County of Pulaski to ensure compliance with the December 2011 Claytor Lake Shoreline Management Plan. The attached AEP application needs to be completed and submitted along with a site plan indicating the existing structures and proposed improvements, including the dimensions and setbacks of each. The site plan should be prepared on a copy of an existing survey plat. Please detail the existing and/or proposed use of each structure. (See attached example sketch)
I hereby certify that I have authority to make this application and to the truthfulness of the information in the application and that if any of the information provided is incorrect, the Building/Zoning Permit may be revoked. If the permit is issued wrongfully, whether based on misinformation or an improper application of the Code, the Building/Zoning Permit may be revoked. By signing this application I am hereby certifying that I am responsible for conveying all information relevant to this application including Building, Zoning, E&S Control Codes and all other applicable codes to the property owner and/or contractor. ______________________________________ Signature of Applicant
______________________________________ Printed Name of Applicant
